Updated 13 April 2022
We carried out this announced focused inspection on 8 March 2022 under section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We planned the inspection to check whether the registered practice was meeting the legal requirements in the Health and Social Care Act 2008 and associated regulations. The inspection was led by a Care Quality Commission, (CQC), inspector who was supported by a specialist dental adviser.
To get to the heart of patients’ experiences of care and treatment, we usually ask five key questions, however due to the ongoing COVID-19 pandemic and to reduce time spent on site, only the following three questions were asked:
• Is it safe?
• Is it effective?
• Is it well-led?
These questions form the framework for the areas we look at during the inspection.
Our findings were:
- The dental clinic appeared to be visibly clean and well-maintained.
- The practice had infection control procedures which reflected published guidance.
- Staff knew how to deal with medical emergencies. The processes to check appropriate medicines and life-saving equipment were available but needed improvement.
- The practice had systems to help them manage risk to patients and staff.
- Safeguarding processes were in place and staff knew their responsibilities for safeguarding vulnerable adults and children.
- Improvements could be made to the staff recruitment procedures.
- The clinical staff provided patients’ care and treatment in line with current guidelines. The auditing of these could be improved.
- Patients were treated with dignity and respect and staff took care to protect their privacy and personal information.
- Staff provided preventive care and supported patients to ensure better oral health.
- There was effective leadership and a culture of continuous improvement.
- Staff felt involved and supported and worked as a team.
- Staff and patients were asked for feedback about the services provided.
Background
Revive Dental Care, Monton is in Eccles, Manchester and provides NHS and private dental care and treatment for adults and children.
There is level access to the practice for people who use wheelchairs and those with pushchairs. Car parking spaces are available near the practice.
The dental team includes four dentists, six dental nurses of which four are trainees, three dental therapists, two receptionists and a practice manager. The practice has five treatment rooms.
During the inspection we spoke with one dentist, one dental hygiene therapist, two dental nurses, the receptionists, the practice manager and a company compliance lead. We looked at practice policies and procedures and other records about how the service is managed.
The practice is open:
Monday to Friday 8.10am to 1pm and 2pm to 6pm
There were areas where the provider could make improvements. They should:
- Implement an effective system of checks of medical emergency equipment and medicines taking into account the guidelines issued by the Resuscitation Council (UK) and the General Dental Council.
- Take action to ensure audits have documented learning points and the resulting improvements can be demonstrated.
- Implement an effective recruitment procedure to ensure that appropriate checks are completed prior to new staff commencing employment at the practice.